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Film Incentive Center

Connecticut

Form 75, Coverage Election by Sole Proprietor

Sole proprietors may submit Form 75 to elect inclusion in or exclusion from Connecticut workers' compensation coverage. Independent producers, freelance filmmakers, or other sole operators working on a production may use this form to manage their insurance obligations.

Type

Unemployment Insurance,

Expiration Date

December 31, 2025

Updated Date

April 29, 2025

Related Forms

Employer's First Report of Occupational Injury or Illness

Employers must file the Employer’s First Report within seven days of learning about any occupational injury or illness involving their workers. Production companies are required to complete this report promptly if a crew member, cast member, or set worker suffers a job-related injury or illness during production activities.

Unemployment Insurance

Form 75, Coverage Election by Sole Proprietor

Sole proprietors may submit Form 75 to elect inclusion in or exclusion from Connecticut workers' compensation coverage. Independent producers, freelance filmmakers, or other sole operators working on a production may use this form to manage their insurance obligations.

Unemployment Insurance

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